1952210
Descripción
Test por Kimberly Ramos, actualizado hace más de 1 año
|
Creado por Kimberly Ramos
hace más de 9 años
|
|
Pregunta 1
Pregunta
After injection using the Z track technique, the nurse should know that she needs to wait for a few seconds before withdrawing the needle and
this is to allow the medication to disperse into the muscle tissue, thus decreasing the client’s discomfort. How many seconds should the nurse wait before withdrawing the needle?
Respuesta
-
2 seconds
-
5 seconds
-
10 seconds
-
15 seconds
Pregunta 2
Pregunta
Diabetes is one of the leading causes of disability in persons over the age of 45. The most important function of the public health nurse in the prevention of diabetes is?
Respuesta
-
Encouraging cessation or moderation of alcohol intake
-
Avoidance IV drug abuse
-
Promotion of regular exercise & physical activity
-
Assessment of Risk for Injury due to falls & accidents
Pregunta 3
Pregunta
The child is admitted with a fracture of the femur and placed in skeletal traction.which of the following would the nurse assess first?
Respuesta
-
pull of the traction on the pin
-
ace bandage
-
pin sites for signs of infection
-
dressing for tightness
Pregunta 4
Pregunta
A new registered nurse is working on a pediatric unit in a large teaching hospital that uses focus charting with the acronym DAR. What does this stand for?
Respuesta
-
Data, Assessment, Reaction
-
Data, Assessment, Response
-
Data, Actions, Response
-
Data, Actions, Reaction
Pregunta 5
Pregunta
After receiving 75 mL of Packed RBC, the client complains chills & low back pain. The nurse suspects a hemolytic transfusion reaction & stops the infusion. the blood bag & a urine specimen are sent to the laboratory. The reason for sending a urine specimen to the laboratory is to test for:
Respuesta
-
Specific Gravity
-
Disseminated Intravascular Coagulation
-
Free Hemoglobin
-
Carboxyhemoglobin
Pregunta 6
Pregunta
Nursing ethics is an important part of the nursing profession. As the ethical situation arises, so is the need to have an accurate and ethical decision making. The purposes of having a nurses code of ethics is:
Respuesta
-
To delineate the scope and areas of nursing practice
-
To help the public understand professional conduct expected of nurses
-
To define the roles and functions of the health caregivers, nurses, clients
-
To Identify nursing action recommended for specific health care situations
Pregunta 7
Pregunta
The principles that govern right and proper conduct of a person regarding life biology and the health professionals as referred to as:
Respuesta
-
Morality
-
Religion
-
Values
-
Bioethics
Pregunta 8
Pregunta
Violation of the Code of Ethics might equate to the revocation of the nursing license. Who revokes the license?
Respuesta
-
PRC
-
BON
-
DOH
-
PNA
Pregunta 9
Pregunta
In a client with diabetic ketoacidosis. Kussmaul's respiration is exhibited. This is evidence that there is the presence of:
Respuesta
-
Respiratory Acidosis
-
Metabolic Acidosis
-
Respiratory Alkalosis
-
Metabolic Alkalosis
Pregunta 10
Pregunta
Which of the following food choices is appropriate for a client prescribed with low sodium diet?
Respuesta
-
Nissin Cup Noodles, Apple and C2
-
corndogs, fresh fruits and vegetables
-
white chicken sandwich, vegetable salad and tea
-
canned soup, potato salad, and CokeZero
Pregunta 11
Pregunta
The nurse is about to begin a blood transfusion for a client with renal failure. What should the nurse pay particularly close attention to, when checking the bag?
Respuesta
-
Blood Type
-
ID #
-
Patient's Name
-
Expiration Date
Pregunta 12
Pregunta
An emergency department nurse is caring for a child suspected of acute epiglottitis. Which interventions apply in the care of the child? SATA
1. Obtain a throat culture
2. Ensure a patent airway
3. Prepare the child for a chest x-ray
4. Maintain the child in a supine position
5. Obtain a pediatric-size tracheostomy tray
6. Place the child on an oxygen saturation monitor
Respuesta
-
1,2,5,6
-
1,3,5,6
-
2,4,5,6
-
2,3,5,6
-
all of the above
Pregunta 13
Pregunta
to foster sound interpersonal relationship s duringn an initial meetings with a family the nurse should assume the role of:
Respuesta
-
surrogate
-
strangers
-
teacher
-
Couselor
Pregunta 14
Pregunta
A RN suffers from chronic back pain that was the result of an injury she suffered when pulling a patient up in bed. She is addicted to pain medication and has recently been accused of stealing narcotics. This is an example of which of the following violations of the law?
Respuesta
-
Misdemeanor
-
Tort
-
Malpractice
-
Felony
Pregunta 15
Pregunta
If patient asks the nurse her opinion about a particular physicians and the nurse replies that the physician
is incompetent, the nurse could be held liable for:
Respuesta
-
Libel
-
Assault
-
Slander
-
Respondent superior
Pregunta 16
Pregunta
Which of the following is an example of nursing malpractice?
Respuesta
-
The nurse administers penicillin to a patient with a documented history of allergy to the drug. The patient experiences an allergic reaction and has cerebral damage resulting from anoxia.
-
The nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping.
-
The nurse assists a patient out of bed with the bed locked in position; the patient slips and fractures his right humerus.
-
The nurse administers the wrong medication to a patient and the patient vomits. This information is documented and reported to the physician and the nursing supervisor.
Pregunta 17
Pregunta
Immobility impairs bladder elimination, resulting in such disorders as:
Respuesta
-
Increased urine acidity and relaxation of the perineal muscles, causing incontinence
-
Urine retention, bladder distention, and infection
-
Diuresis, natriuresis, and decreased urine specific gravity
-
Decreased calcium and phosphate levels in the urine
Pregunta 18
Pregunta
In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory
complications as:
Respuesta
-
Respiratory acidosis, ateclectasis, and hypostatic pneumonia
-
Apneustic breathing, atypical pneumonia and respiratory alkalosis
-
Cheyne-Strokes respirations and spontaneous pneumothorax
-
Kussmaul's Respiration
Pregunta 19
Pregunta
Thrombophlebitis typically develops in patients with which of the following conditions?
Respuesta
-
Increases partial thromboplastin time
-
Acute pulsus paradoxus
-
An impaired or traumatized blood vessel wall
-
Chronic Obstructive Pulmonary Disease (COPD)
Pregunta 20
Pregunta
When transferring a patient from a bed to a chair, the nurse should use which muscles to avoid back
injury?
Respuesta
-
Abdominal muscles
-
Back muscles
-
Calf/leg muscles
-
Deltoid + Upper arm muscles
Pregunta 21
Pregunta
During which of the following stages of labor would the nurse assess “crowning”?
Respuesta
-
First stage
-
Second stage
-
Third stage
-
Fourth stage
Pregunta 22
Pregunta
A client has a midpelvic contracture from a previous pelvic injury due to a motor vehicle accident as a teenager. The nurse is aware that this could prevent a fetus from passing through or around which structure during childbirth?
Respuesta
-
Symphysis pubis
-
Sacral promontory
-
Ischial spines
-
Pubic arch
Pregunta 23
Pregunta
Monet Rivera tells you she used to worry because she developed breasts later than most of her friends. Breast development is termed:
Respuesta
-
Adrenarche
-
Mamarche
-
Thelarche
-
Menarche
Pregunta 24
Pregunta
The infant of a substance-abusing mother is at risk for developing a sense of which of the following?
Respuesta
-
Mistrust
-
Shame
-
Guilt
-
Inferiority
Pregunta 25
Pregunta
While assessing a child with pyloric stenosis, the nurse is likely to note which of the following?
Respuesta
-
Regurgitation
-
Steatorrhea
-
Projectile vomiting
-
“Currant jelly” stools
Pregunta 26
Pregunta
SITUATION : Barangay FreeNLEReview has the following data in year 2015
1. July 1 population : 254,316
2. Livebirths : 2,289
3. Deaths from maternal cause : 15
4. Death from CVD : 3,029
5. Deaths under 1 year of age : 23
6. Fetal deaths : 8
7. Deaths under 28 days : 8
8. Death due to rabies : 45
9. Registered cases of rabies : 45
10. People with pneumonia : 79
11. People exposed with pneumonia : 2,593
12. Total number of deaths from all causes : 10,998
What is the crude birth rate of Barangay FreeNLEReview?
Respuesta
-
90/100,000
-
9/100
-
90/1000
-
9/1000
Pregunta 27
Pregunta
SITUATION : Barangay FreeNLEReview has the following data in year 2015
1. July 1 population : 254,316
2. Livebirths : 2,289
3. Deaths from maternal cause : 15
4. Death from CVD : 3,029
5. Deaths under 1 year of age : 23
6. Fetal deaths : 8
7. Deaths under 28 days : 8
8. Death due to rabies : 45
9. Registered cases of rabies : 45
10. People with pneumonia : 79
11. People exposed with pneumonia : 2,593
12. Total number of deaths from all causes : 10,998
What is the cause specific death rate from cardiovascular diseases?
Respuesta
-
27/100
-
1191/100,000
-
27/100,000
-
1.1/1000
Pregunta 28
Pregunta
SITUATION : Barangay FreeNLEReview has the following data in year 2015
1. July 1 population : 254,316
2. Livebirths : 2,289
3. Deaths from maternal cause : 15
4. Death from CVD : 3,029
5. Deaths under 1 year of age : 23
6. Fetal deaths : 8
7. Deaths under 28 days : 8
8. Death due to rabies : 45
9. Registered cases of rabies : 45
10. People with pneumonia : 79
11. People exposed with pneumonia : 2,593
12. Total number of deaths from all causes : 10,998
What is the Maternal Mortality rate of this barangay?
Respuesta
-
6.55/1000
-
5.89/1000
-
1.36/1000
-
3.67/1000
Pregunta 29
Pregunta
SITUATION : Barangay FreeNLEReview has the following data in year 2015
1. July 1 population : 254,316
2. Livebirths : 2,289
3. Deaths from maternal cause : 15
4. Death from CVD : 3,029
5. Deaths under 1 year of age : 23
6. Fetal deaths : 8
7. Deaths under 28 days : 8
8. Death due to rabies : 45
9. Registered cases of rabies : 45
10. People with pneumonia : 79
11. People exposed with pneumonia : 2,593
12. Total number of deaths from all causes : 10,998
What is the fetal death rate?
Respuesta
-
3.49/1000
-
10.04/1000
-
3.14/1000
-
3.14/100,000
Pregunta 30
Pregunta
SITUATION : Barangay FreeNLEReview has the following data in year 2015
1. July 1 population : 254,316
2. Livebirths : 2,289
3. Deaths from maternal cause : 15
4. Death from CVD : 3,029
5. Deaths under 1 year of age : 23
6. Fetal deaths : 8
7. Deaths under 28 days : 8
8. Death due to rabies : 45
9. Registered cases of rabies : 45
10. People with pneumonia : 79
11. People exposed with pneumonia : 2,593
12. Total number of deaths from all causes : 10,998
Determine the Case fatality ratio of rabies in this Barangay
Respuesta
-
1/100
-
100%
-
1%
-
100/1000
Pregunta 31
Pregunta
While performing physical assessment of a 12 month-old, the nurse notes that the infant’s anterior fontanel is still slightly open. Which of the following is the nurse’s most appropriate action?
Respuesta
-
Notify the physician immediately because there is a problem.
-
Perform an intensive neurologic examination.
-
Perform an intensive developmental examination.
-
Do nothing because this is a normal finding for the age.
Pregunta 32
Pregunta
Which of the following vaccine is not done by (IM) intramuscular injection
Respuesta
-
Measles vaccine
-
DPT
-
Hepatitis B vaccine
-
Tetanus Toxoid
Pregunta 33
Pregunta
This vaccine content derived from RNA recombinants
Respuesta
-
Measles vaccine
-
DPT
-
Hepatitis B vaccine
-
Tetanus toxoid
Pregunta 34
Pregunta
Which is the primary goal of community health nursing?
Respuesta
-
To support and supplement the efforts of the medical profession in the promotion of health and prevention of illness
-
To enhance the capacity of individuals, families and communities to cope with their health needs
-
To increase the productivity of the people by providing them with services that will increase their level of health
-
To contribute to national development through promotion of family welfare, focusing particularly on mothers and children.
Pregunta 35
Pregunta
According to C.E.Winslow, which of the following is the goal of Public Health?
Respuesta
-
For people to attain their birthrights of health and longevity
-
For promotion of health and prevention of disease
-
For people to have access to basic health services
-
For people to be organized in their health efforts
Pregunta 36
Pregunta
Which of the following is the most prominent feature of public health nursing?
Respuesta
-
It involves providing home care to sick people who are not confined in the hospital.
-
Services are provided free of charge to people within the catchment area.
-
The public health nurse functions as part of a team providing a public health nursing services.
-
Public health nursing focuses on preventive, not curative, services.
Pregunta 37
Pregunta
During electroconvulsive therapy (ECT) the client receives oxygen by mask via positive pressure ventilation. The nurse assisting with this procedure knows that positive pressure ventilation is necessary because?
Respuesta
-
Anesthesia is administered during the procedure
-
Decrease oxygen to the brain increases confusion and disorientation
-
Grand mal seizure activity depresses respirations
-
Muscle relaxants given to prevent injury during seizure activity depress respirations.
Pregunta 38
Pregunta
Nurse Tina is caring for a client with depression who has not responded to antidepressant medication. The
nurse anticipates that what treatment procedure may be prescribed?
Respuesta
-
Neuroleptic medication
-
Short term seclusion
-
Psychosurgery
-
Electroconvulsive therapy
Pregunta 39
Pregunta
Joey who has a chronic user of cocaine reports that he feels like he has cockroaches crawling under his skin.
His arms are red because of scratching. The nurse in charge interprets these findings as possibly indicating
which of the following?
Respuesta
-
Delusion
-
Formication
-
Flash back
-
Confusion
Pregunta 40
Pregunta
Within a few hours of alcohol withdrawal, nurse John should assess the male client for the presence of:
Respuesta
-
Disorientation, paranoia, tachycardia
-
Tremors, fever, profuse diaphoresis
-
Irritability, heightened alertness, jerky movements
-
Yawning, anxiety, convulsions
Pregunta 41
Pregunta
When being admitted to a mental health facility, a young female adult tells Nurse Mylene that the voices she hears frighten her. Nurse Mylene understands that the client tends to hallucinate more vividly:
Respuesta
-
While watching TV
-
During meal time
-
During group activities
-
After going to bed
Pregunta 42
Pregunta
A female client is brought by ambulance to the hospital emergency room after taking an overdose of barbiturates is comatose. Nurse Trish would be especially alert for which of the following?
Respuesta
-
Epilepsy
-
Myocardial Infarction
-
Renal failure
-
Respiratory failure
Pregunta 43
Pregunta
The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:
Respuesta
-
Cats
-
Dogs
-
Turtles
-
Birds
Pregunta 44
Pregunta
A client with frequent urinary tract infections asks the nurse how she can prevent the recurrence. The nurse should teach the client to:
Respuesta
-
Douche after intercourse
-
Void every 3 hours
-
Obtain a urinalysis monthly
-
Wipe from back to front after voiding
Pregunta 45
Pregunta
A male nurse was found guilty of negligence. His license was revoked. Re-issuance of revoked certificates is after how many years?
Respuesta
-
1 year
-
2 years
-
3 years
-
4 years
Pregunta 46
Pregunta
The one filing the criminal care against an accused party is said to be the?
Respuesta
-
Guilty
-
Accused
-
Plaintiff
-
Witness
Pregunta 47
Pregunta
When examining a client with abdominal pain, Nurse Hazel should assess:
Respuesta
-
Symptomatic quadrant either second or first
-
The symptomatic quadrant last
-
The symptomatic quadrant first
-
Any quadrant
Pregunta 48
Pregunta
During acute gout attack, the nurse administer which of the following drug:
Respuesta
-
Prednisone (Deltasone)
-
Colchicine
-
Aspirin
-
Allopurinol (Zyloprim)
Pregunta 49
Pregunta
The Researcher knows that certain patients who are in a specialized research setting tend to respond psychologically to the
conditions of the study. This is referred to as:
Respuesta
-
Bias
-
Hawthorne effect
-
Halo effect
-
Horn effect
Pregunta 50
Pregunta
The nurse is caring for a client with ascites. Which is the best method to use for determining early ascites?
Respuesta
-
Inspection of the abdomen for enlargement
-
Bimanual palpation for hepatomegaly
-
Daily measurement of abdominal girth
-
Assessment for a fluid wave
Pregunta 51
Pregunta
1 tsp is equals to how many drops?
Respuesta
-
15
-
60
-
10
-
30
Pregunta 52
Pregunta
The most appropriate nursing order for a patient who develops dyspnea and shortness of breath would be…
Respuesta
-
Maintain the patient on strict bed rest at all times
-
Maintain the patient in an orthopneic position as needed
-
Administer oxygen by Venturi mask at 24%, as needed
-
Allow a 1 hour rest period between activities
Pregunta 53
Pregunta
The nurse observes that Mr. Galvan begins to have increased difficulty breathing. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. The nurse documents this breathing as:
Respuesta
-
Tachypnea
-
Eupnea
-
Orthopnea
-
Hyperventilation
Pregunta 54
Pregunta
Mrs. Manlapas has been given a copy of her diet. The nurse discusses the foods allowed on a 500-mg low sodium diet. These include:
Respuesta
-
A ham and Swiss cheese sandwich on whole wheat bread
-
Mashed potatoes and broiled chicken
-
A tossed salad with oil and vinegar and olives
-
Chicken bouillon
Pregunta 55
Pregunta
The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. Nursing responsibilities for Mrs. Mercado now include:
Respuesta
-
Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time (PT).
-
Reporting an APTT above 45 seconds to the physician
-
Assessing the patient for signs and symptoms of frank and occult bleeding
-
All of the above
Pregunta 56
Pregunta
The four main concepts common to nursing that appear in each of the current conceptual models are:
Respuesta
-
Person, nursing, environment, medicine
-
Person, health, nursing, support systems
-
Person, health, psychology, nursing
-
Person, environment, health, nursing
Pregunta 57
Pregunta
In Maslow’s hierarchy of physiologic needs, the human need of greatest priority is:
Respuesta
-
Love
-
Elimination
-
Nutrition
-
Oxygen
Pregunta 58
Pregunta
The family of an accident victim who has been declared brain-dead seems amenable to organ donation. What should the nurse do?
Respuesta
-
Discourage them from making a decision until their grief has eased
-
Listen to their concerns and answer their questions honestly
-
Encourage them to sign the consent form right away
-
Tell them the body will not be available for a wake or funeral
Pregunta 59
Pregunta
A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. What should she do?
Respuesta
-
Complain to her fellow nurses
-
Wait until she knows more about the unit
-
Discuss the problem with her supervisor
-
Inform the staff that they must volunteer to rotate
Pregunta 60
Pregunta
Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse?
Respuesta
-
Continuity of patient care promotes efficient, cost-effective nursing care
-
Autonomy and authority for planning are best delegated to a nurse who knows the patient well
-
Accountability is clearest when one nurse is responsible for the overall plan and its implementation.
-
The holistic approach provides for a therapeutic relationship, continuity, and efficient nursing care
Pregunta 61
Pregunta
A couple who wants to conceive but has been unsuccessful during the last 2 years has undergone many diagnostic procedures. When discussing the situation with the nurse, one partner states, “We know several friends in our age group and all of them have their own child already, Why can’t we have one?”. Which of the following would be the most pertinent nursing diagnosis for this couple?
Respuesta
-
Fear related to the unknown
-
Pain related to numerous procedures.
-
Ineffective family coping related to infertility.
-
Self-esteem disturbance related to infertility.
Pregunta 62
Pregunta
Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester?
Respuesta
-
Dysuria
-
Frequency
-
Incontinence
-
Burning
Pregunta 63
Pregunta
Heartburn and flatulence, common in the second trimester, are most likely the result of which of the following?
Respuesta
-
Increased plasma HCG levels
-
Decreased intestinal motility
-
Decreased gastric acidity
-
Elevated estrogen levels
Pregunta 64
Pregunta
On which of the following areas would the nurse expect to observe chloasma?
Respuesta
-
Breast, areola, and nipples
-
Chest, neck, arms, and legs
-
Abdomen, breast, and thighs
-
Cheeks, forehead, and nose
Pregunta 65
Pregunta
A pregnant client states that she “waddles” when she walks. The nurse’s explanation is based on which of the following as the cause?
Respuesta
-
The large size of the newborn
-
Pressure on the pelvic muscles
-
Relaxation of the pelvic joints
-
Excessive weight gain
Pregunta 66
Pregunta
In the occurrence of SARS and other pandemics, which of the following is the most vital role of a nurse in epidemiology?
Respuesta
-
Health promotion
-
Disease prevention
-
Surveillance
-
Casefinding
Pregunta 67
Pregunta
Measles outbreak has been reported in Barangay Future RNs, After conducting an epidemiological investigation you have confirmed that the outbreak is factual. You are tasked to lead a team of medical workers for operational procedure in disease outbreak.
Arrange the correct sequence of events that you must do to effectively contain the disease
1. Create a final report and recommendation
2. Perform nasopharyngeal swabbing to infected individuals
3. Perform mass measles immunization to vulnerable groups
4. Perform an environmental sanitation survey on the immediate environment
5. Organize your team and Coordinate the personnel
6. Educate the community on disease transmission
Respuesta
-
1,2,3,4,5,6
-
6,5,4,3,2,1
-
5,6,4,2,3,1
-
5,2,3,4,6,1
Pregunta 68
Pregunta
While performing physical assessment of a 12 month-old, the nurse notes that the infant’s anterior fontanelle is still slightly open. Which of the following is the nurse’s most appropriate action?
Respuesta
-
Notify the physician immediately because there is a problem.
-
Perform an intensive neurologic examination.
-
Perform an intensive developmental examination.
-
Do nothing because this is a normal finding for the age.
Pregunta 69
Pregunta
When teaching a mother about introducing solid foods to her child, which of the following indicates the earliest age at which this should be done?
Respuesta
-
1 month
-
2 months
-
3 months
-
4 months
Pregunta 70
Pregunta
Which of the following toys should the nurse recommend for a 5-month-old?
Respuesta
-
A big red balloon
-
A teddy bear with button eyes
-
A push-pull wooden truck
-
A colorful busy box
Pregunta 71
Pregunta
Marco who was diagnosed with brain tumor was scheduled for craniotomy. In preventing the development of cerebral edema after surgery, the nurse should expect the use of:
Respuesta
-
Diuretics
-
Antihypertensive
-
Steroids
-
Anticonvulsants
Pregunta 72
Pregunta
Nurse Maureen knows that the positive diagnosis for HIV infection is made based on which of the following:
Respuesta
-
A history of high risk sexual behaviors.
-
Positive ELISA and western blot tests
-
Identification of an associated opportunistic infection
-
Evidence of extreme weight loss and high fever
Pregunta 73
Pregunta
Nurse Maureen is aware that a client who has been diagnosed with chronic renal failure recognizes an adequate amount of high-biologic-value protein when the food the client selected from the menu was:
Respuesta
-
Raw carrots
-
Apple juice
-
Whole Wheat Bread
-
Cottage Cheese
Pregunta 74
Pregunta
A client has undergone laryngectomy. The immediate nursing priority would be:
Respuesta
-
Keep trachea free of secretions
-
Monitor for signs of infection
-
Provide emotional support
-
Promote means of communication
Pregunta 75
Pregunta
Lydia is scheduled for elective splenectomy. Before the clients goes to surgery, the nurse in charge final assessment would be:
Respuesta
-
signed consent
-
vital signs
-
name band
-
empty bladder
Pregunta 76
Pregunta
Nurse Josie should instruct the client to eat which of the following foods to obtain the best supply of Vitamin B12?
Respuesta
-
dairy products
-
vegetables
-
grains
-
broccoli
Pregunta 77
Pregunta
Nurse Joseph teaches the client with angina about common expected side effects of nitroglycerin including:
Respuesta
-
high blood pressure
-
stomach cramps
-
headache
-
shortness of breath
Pregunta 78
Pregunta
Immediately after liver biopsy, the client is placed on the right side, the nurse is aware that that this position should be maintained because it will:
Respuesta
-
Help stop bleeding if any occurs
-
Reduce the fluid trapped in the biliary ducts
-
Position with greatest comfort
-
Promote circulating blood volume
Pregunta 79
Pregunta
Nurse Trish is aware that temporary heterograft (pig skin) is used to treat burns because this graft will:
Respuesta
-
Relieve pain and promote rapid epithelialization
-
Be sutured in place for better adherence
-
Debride necrotic epithelium
-
Concurrently used with topical antimicrobials
Pregunta 80
Pregunta
Mark has multiple abrasions and a laceration to the trunk and all four extremities says, “I can’t eat all this food”. The food that the nurse should suggest to be eaten first should be:
Respuesta
-
Meat loaf and coffee
-
Meat loaf and strawberries
-
Tomato soup and apple pie
-
Tomato soup and buttered bread
Pregunta 81
Pregunta
Tony returns form surgery with permanent colostomy. During the first 24 hours the colostomy does not drain. The nurse should be aware that:
Respuesta
-
Proper functioning of nasogastric suction
-
Pre-surgical decrease in fluid intake
-
Absence of gastrointestinal motility
-
Intestinal edema following surgery
Pregunta 82
Pregunta
Nurse Linda is caring for a client with head injury and monitoring the client with decerebrate posturing. Which of the following is a characteristic of this type of posturing?
Respuesta
-
Upper extremity flexion with lower extremity flexion
-
Upper extremity flexion with lower extremity extension
-
Extension of the extremities after a stimulus
-
Flexion of the extremities after stimulus
Pregunta 83
Pregunta
A female client is taking Cascara Sagrada. Nurse Betty informs the client that the following maybe experienced as side effects of this medication:
Respuesta
-
GI bleeding
-
Peptic ulcer disease
-
Abdominal cramps
-
Partial bowel obstruction
Pregunta 84
Pregunta
After gastroscopy, an adaptation that indicates major complication would be:
Respuesta
-
Nausea and vomiting
-
Abdominal distention
-
Increased GI motility
-
Difficulty in swallowing
Pregunta 85
Pregunta
Ryan has undergone subtotal gastrectomy. The nurse should expect that nasogastric tube drainage will be what color for about 12 to 24 hours after surgery?
Respuesta
-
Bile green
-
Bright red
-
Cloudy white
-
Dark brown
Pregunta 86
Pregunta
Another name for knee-chest position is:
Respuesta
-
Genu-dorsal
-
Genu-pectoral
-
Lithotomy
-
Sim’s
Pregunta 87
Pregunta
The amniotic fluid of a client has a greenish tint. The nurse interprets this to be the result of which of the following?
Respuesta
-
Lanugo
-
polydramnios
-
Meconium
-
Vernix
Pregunta 88
Pregunta
A nurse who would like to practice nursing in the Philippines can obtain a license to practice by:
Respuesta
-
Paying the professional tax after taking the board exams
-
Passing the board exams and taking the oath of professionals
-
Paying the examination fee before taking the board exams
-
Undergoing the interview conducted by the Board of Nursing and taking the board exams
Pregunta 89
Pregunta
Reciprocity of license to practice requires that the country of origin of the interested foreign nurse complies
with the following conditions:
Respuesta
-
The country of origin has similar preparation for a nurse and has laws allowing Filipino nurses to practice in their country.
-
The Philippines is recognized by the country of origin as one that has high quality of nursing education
-
The country of origin requires Filipinos to take their own board examination
-
The country of origin exempts Filipinos from passing their licensure examination
Pregunta 90
Pregunta
When a nurse causes an injury to the patient and the injury caused becomes the proof of the negligent act, the presence of the injury is said to exemplify the principle of:
Respuesta
-
Force majeure
-
Respondeat superior
-
Res ipsa loquitur
-
Holdover doctrine
Pregunta 91
Pregunta
Kathleen came across a theory which states that the leadership style is effective dependent on the situation. Which of the following styles best fits a situation when the followers are self-directed, experts and are matured individuals?
Respuesta
-
Democratic
-
Authoritarian
-
Laissez-faire
-
Bureaucratic
Pregunta 92
Pregunta
A female client is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is:
Respuesta
-
Being Killed
-
Highly famous and important
-
Responsible for evil world
-
Connected to client unrelated to oneself
Pregunta 93
Pregunta
Nurse Tony should first discuss terminating the nurse-client relationship with a client during the:
Respuesta
-
Termination phase when discharge plans are being made.
-
Working phase when the client shows some progress.
-
Orientation phase when a contract is established.
-
Working phase when the client brings it up
Pregunta 94
Pregunta
Nurse John is aware that a serious effect of inhaling cocaine is?
Respuesta
-
Deterioration of nasal septum
-
Acute fluid and electrolyte imbalances
-
Extra pyramidal tract symptoms
-
Esophageal varices
Pregunta 95
Pregunta
Before helping a male client who has been sexually assaulted, nurse Kram should recognize that the rapist is motivated by feelings of:
Respuesta
-
Hostility
-
Inadequacy
-
Incompetence
-
Passion
Pregunta 96
Pregunta
Rosana is in the second stage of Alzheimer’s disease who appears to be in pain. Which question by Nurse Jenny would best elicit information about the pain?
Respuesta
-
“Where is your pain located?”
-
“Do you hurt? (pause) “Do you hurt?”
-
“Can you describe your pain?”
-
“Where do you hurt?”
Pregunta 97
Pregunta
Jose who is receiving monoamine oxidase inhibitor antidepressant should avoid tyramine, a compound found in which of the following foods?
Respuesta
-
Figs and cream cheese
-
Fruits and yellow vegetables
-
Aged cheese and Chianti wine
-
Green leafy vegetables
Pregunta 98
Pregunta
Discharge instructions for a male client receiving tricyclic antidepressants include which of the following information?
Respuesta
-
Restrict fluids and sodium intake
-
Don’t consume alcohol
-
Discontinue if dry mouth and blurred vision occur
-
Restrict fluid and sodium intake
Pregunta 99
Pregunta
Which of the following foods would the nurse Trish eliminate from the diet of a client in alcohol withdrawal?
Respuesta
-
Milk
-
Orange Juice
-
Soda
-
Regular Coffee
Pregunta 100
Pregunta
Nurse Nukushi recognizes that the focus of environmental (MILIEU) therapy is to:
Respuesta
-
Manipulate the environment to bring about positive changes in behavior
-
Allow the client’s freedom to determine whether or not they will be involved in activities
-
Role play life events to meet individual needs
-
Use natural remedies rather than drugs to control behavior
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